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NPI Code Detail

MEDICARE: WERONIKA FLIS PHARMD

MEDICARE: WERONIKA FLIS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051297784IL
2183500000XPharmacist26025793AIN

General Provider Information

NPI Number : 1194125906
Entity Type Code : Individual
Provider Name (Legal Business Name) : WERONIKA FLIS PHARMD
Provider Business Mailing Address
First Line : 14746 TRUMBULL AVE
Second Line :
City : MIDLOTHIAN
State : IL
Zip : 60445-3623
Country : US
Telephone Number : 847-302-8418
Fax Number :
Provider Business Practice Location Address
First Line : 4800 148TH ST
Second Line :
City : MIDLOTHIAN
State : IL
Zip : 60445-3117
Country : US
Telephone Number : 708-687-1604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2014
Last Update Date : 08/28/2014

Similar Medicare Providers

1710992938 — WALGREEN CO
Practice Location Address:
4800 148TH ST
MIDLOTHIAN, IL
60445-3117
Practice Phone: 708-687-1604
Practice Fax: 708-687-1650
1770865768 — DR. ANN E FIT PHARMD
Practice Location Address:
4800 148TH ST
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Practice Fax:
1326324971 — JULIE ANNE BIEDERMAN
Practice Location Address:
4800 148TH ST
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1629354873 — MRS. JOANNA SAMARA PHARMD
Practice Location Address:
4800 148TH ST
MIDLOTHIAN, IL
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Practice Fax: 708-687-1650
1679850382 — MRS. AMINAH KHADIJAH BURNS PHARM. D.
Practice Location Address:
4800 148TH ST
MIDLOTHIAN, IL
60445-3117
Practice Phone: 708-687-1604
Practice Fax: 708-687-1650
1841577384 — MAE QAZZAZ RPH
Practice Location Address:
4800 148TH ST
MIDLOTHIAN, IL
60445-3117
Practice Phone: 708-860-8770
Practice Fax: 708-687-1650

Directions to “ WERONIKA FLIS PHARMD” Practice Location

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